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Organization
CORNER CANYON RECOVERY, LLC
Active
Organization
CORNER CANYON RECOVERY, LLC
Active
Parent organization
CORNER CANYON RECOVERY, LLC
Other names
Corner Canyon Health Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNER CANYON RECOVERY, LLC
Authorized official
MR. BRADLEY RANDALL CHRISTENSEN (CHIEF PEOPLE OFFICER)
(801) 994-6735
Entity
Organization
Contact information
Practice address
13020 S FORT ST, DRAPER, UT 84020-9294
(801) 994-6735
(801) 384-0820
Mailing address
13020 S FORT ST, DRAPER, UT 84020-9294
(801) 994-1849
(801) 384-0820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/29/2021
Last updated
02/13/2025
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